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Hsmu 131:Epidemiology And Demography Question Paper

Hsmu 131:Epidemiology And Demography

Course:Health Systems

Institution: Kenya Methodist University question papers

Exam Year:2013

KENYA METHODIST UNIVERSITY

END OF 1''ST ''TRIMESTER 2013 (DAY) EXAMINATIONS
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : HEALTH SYSTEMES AND MANAGEMENT
UNIT CODE : HSMU 131
UNIT TITLE : EPIDEMIOLOGY AND DEMOGRAPHY FOR HEALTH SYSTEMS MANAGEMENT
TIME : 2 HOURS

Instructions:

SECTION A: Answer all the questions.

Question One

What is epidemiology?

(2mks)

Briefly describe any four uses of epidemiology in health care financing.

(8mks)

Question Two

Measurements in epidemiology and demography for health systems require using clear criteria for classification of persons in the population as cases (disease) or non-cases (non-disease) in relation to this define:

Reliability
Validity
Sensitivity
Specificity

Predictive value of a measure.

(10mks)

Question Three

List five uses of surveillance in health system management.

(5mks)

List five objectives of measuring population vital statistics and morbidity in health systems.

(5mks)

Question Four

Giving examples compare and contrast

Field trials and community trials
Retrospective and prospective epidemiologic studies.

Descriptive and analytic epidemiologic studies.

(10mks)

SECTION B: Answer any two questions.

Question Five

Giving clear illustrations describe the factors that influence disease occurrence in a population.

(15mks)

As a health system researcher in change of TKH hospital you have observed that there is an increase in the prevalence of abortions. You have chosen to investigate, and in so doing have come up with the following findings:
Monthly incidence of abortions of women exposed to a drug (XY) is 16 women-month per 1000 pregnant women.
Monthly incidence of abortions of women not exposed to the drug (XY) is 3 women per 1000 pregnant women
The relative risk of abortion among the exposed women against the unexposed is 5.
The attributable risk of the above is 0.013. using the above information.
Interpret the results of ((i) – (iv)) above and explain the difference between results (i) and (ii) (5mks)

In relation to health systems functions, explain what has failed and the solutions to the above problem in relation to (a) above.

(10mks)

Question Six

Describe probable requirements to be adopted in prevention of the following interventions from a health systems management perspective.

Screening for tuberculosis in the workplace
Health education
Setting up rehabilitation centres for the alcoholic and drug addicts.
Putting up road signs indicating black spots on a major road.

Outpatient treatment in Mbagathi hospital.

(30mks)

Question Seven

Giving examples, describe how rates and ratios of vital indices can be used to monitor health programs.

(15mks)

The following tale present the age specific fertility rates of Naija county:

Age specific fertility rates – Naija County
Age group
1981 1991
15-19
20-24
25-29
30-34
35-39
40-44
45-49 90.4
246.9
232.1
167.7
102.5
44.0
19.6 76.1
234.0
191.3
117.0
66.8
30.6
12.1
Total fertility 4.5 3.6

Using the information in the above table, highlight the trends and explain the measures that could be adopted in planning for interventions. (10mks)

Describe five sources of demographic data in relation to health systems management.

(5mks)

Hsmu 131:Epidemiology And Demography Question Paper

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